Doctor's Orders

Spirit of Ancestor Tree
Location Arx
Suggested Level 13-20
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Doctor's Orders is a Quest in Divinity: Original Sin II. The powerful demon, Adramahlikh, is actually Doctor Daeva. Will you be able to stop him?



Important NPCs



Doctor's Orders Objectives

  1. Learn the name of The Doctor from the Spirit of Ancestor Tree.
  2. Head to Arx.
  3. Snuff out the candles to weaken The Doctor (optional).
  4. Defeat the Doctor.



Doctor's Orders Walkthrough

The name of the demon can be learned from the ancestor tree spirit at Bloodmoon island. If you speak with Jahan, he will tell you that the good doctor is the demon and is currently hiding in Arx.

Investigate the wedding site in Arx, which is also related to the quest, "The Secrets of the Dwarves", and you will learn that the doctor was the one who sent the explosive wedding cake to the dwarves with the intent to kill at least someone named Isbeil, based on the note left behind. Outside the schoolhouse in Arx, a distressed citizen may tell you that the doctor thanks you for serving him back at Bloodmoon island, if you helped the Advocate.

There are now 2 ways to progress this quest in Arx. Either you can kill Isbeil in the quest, "The Secrets of the Dwarves", or you can kill Lord Kemm in the quest, "The Vault of Linder Kemm". Of course, it is highly recommended to do both quests for maximum XP gain, but once you have killed one of them, an Elven messenger will appear, clapping and bidding your party to visit Doctor Daeva at his house. You will earn 19,400XP and your journal will update.

You can find the Doctor at the 'Black House' in the northeast. Malady will be waiting there, so speak to her and she will teleport you to the Demon's Dimension. As you walk with Malady, she will bring you to candles containing the souls Adramahlikh will consume in the future. It is very important here NOT to snuff out the candles, if you are looking to earn maximum XP rewards for this quest. If you have Lohse in your party, she will snuff out the candles no matter what option you pick. If Lohse isn't in your party, you can choose whether or not you want to snuff out the candles. If you do not want to snuff out the candles and Lohse is in your party, simply leave the Demon's Dimension once you enter. Don't forget to pick up the magic locked chest and the trapped runes slightly to the north first though! After snuffing (or not snuffing) all of the candles, Malady will transport you out of the dimension.

Now, there are a couple of notes here to keep in mind. First, Lohse (and only Lohse) will gain 19,400XP each time she decides to snuff out the candles, for the first two candle encounters (the final candle encounter at the very end will not give her any XP). Second, the Doctor will only end up weaker in his human form if you snuffed out the final thousands of candles at the end; the first two candle encounters don't matter. Finally, you are highly encouraged to use the barrel alternative route to enter the Black House, listed below, rather than proceeding through the front door - this is because if you proceed through the front door and kill the Doctor, you will not earn XP at certain points since the quest will be automatically complete once the Doctor is dead. There is no real difference, other than the Doctor expressing surprise you entered via the back gate, between entering through the front door and taking the alternate route.

The alternative route to entering the Black House is to use this particular marked barrel to sneak into the doctor's dungeon, as shown in the picture below. If you read notes in the Fish Works area back in Driftwood and/or talked to the people there, you will learn that the Black House buys Void-tainted fish periodically from messengers, using a signal to tell them it's ready. If you picked up the "Voidwoken Fish Exchange" scroll from Basatan's corpse back on Bloodmoon Island, you can first place a teleporter pyramid inside the barrel, then use the scroll and cast it on the barrel to transport its contents inside the house. Teleporting to the pyramid will thus teleport you deep inside the house's cellar. If you continue onwards, you can find Jahan there, captured as a prisoner. Speaking to him will net you 19,400XP; you will not receive this XP if you already killed the Doctor (and thus completed the quest) before speaking to him.

Carry on forwards and head upstairs. You will earn 53,900 Exploration XP. Lockpick the doors and then speak to the Doctor through this back route. He will express surprise, and if Lohse is in your party, this will gain you the ability to speak with him as Lohse. He will offer you a contract, but you will always refuse the contract as Lohse. Once the conversation is over, your party will gain 19,400XP and combat will begin. If you do not have Lohse in your party, then you can choose to sign a contract with the doctor, listed below.

You can also head inside the Black House through the front door. If you have Lohse in your party, you need to have her interact with the door before it will open. Enter the Black House and you will immediately gain the 53,900 Exploration XP if you have not already. Head inside and speak to the Doctor. If you have Lohse in your party (dismissing her will only result in the Doctor refusing to speak to you), there will be no option for the Doctor to offer you a contract for some reason. Because of this, you will forfeit the 19,400XP that you would otherwise gain if you entered via the alternate route; hence if you have Lohse in your party, it is better to enter via the alternate route. Otherwise, if Lohse was never in your party, you can choose to sign a contract with the doctor, which will change the ending as listed below. If you choose not to sign the contract, he will attack you.

  • After defeating Braccus Rex in Lucian's Crypt, the doctor will appear (killing Lucian and Dallis if they are still alive) and ask you to honor the contract. If you agree to honor the contract, you will have to kill your teammates. In the ending, the Doctor and you will manage to drive out the God-King, thus ruling the world as gods. If you refuse, the doctor will kill your main character, and you will have to defeat him with your team mates.

In any case, if you choose to fight the Doctor, he is a weak opponent in his human form, so as long as you go first, preferably with high Wits, you can finish him off instantly before he transforms. The Doctor now has a scripted 10,000 Initiative value that is not possible to go ahead of. However, depending on whether you snuffed out the thousands of candles at the end with Malady, he will either be weakened, or not. Also, if you do not kill him on the first turn, he will transform into his true form, the demon Adramahlikh. Regardless of whether you snuffed out the candles or not, Adramahlikh will always have around 11k health, nearly 18k physical armor, and 21k magical armor. Below is a comparison of his weakened and non-weakened forms:

  • If you snuffed out the thousands of candles previously, he will end up weakened. He will have only 3.6k hit points (at least on Classic difficulty) and -30% in all elemental resistances. When transformed, he will not be able to channel Demonic Possession, and will not summon any Nemesis monsters.
  • If you didn't snuff out the final thousands of candles, he will not be weakened. He will have around 7k hit points and 20% in all elemental resistances. When transformed, he will summon 4 Nemesis monsters, and be able to channel Demonic Possession, which will permanently enslave Lohse after a few turns.

Needless to say, if you wanted to take advantage of weakening him by snuffing out his candles, you will have to kill him before he transforms. As such, if you cannot finish him off before his turn, then make sure to disable him with some sort of status like stun or frozen. It also bears mentioning that throwing a deathfog crate on him will not affect him or his nurses. When killed, the Doctor and his 6 nurses (sometimes, the nurse at the counter may be too far away to engage you in combat) will grant 149,850XP each, resulting in a whopping grand total of 1,048,950XP. Killing the Doctor will also complete this quest, awarding you an additional 134,750XP.

However, it is important to note that for maximum XP gains, you actually want the Doctor to transform into Adramahlikh, and you absolutely do not want to snuff any of the candles to weaken him. As an unweakened Adramahlikh, he will summon 4 Nemesis monsters to aid him, and each Nemesis monster will award 149,850XP when killed. Because of the huge number of enemies and their tendency to crowd near Adrahamhlikh for some reason, a Thunderstorm spell is extremely effective in this regard; it will constantly stun and damage the vast number of enemies every turn, making the fight easy and giving you tons of free XP. If you can use the Apotheosis spell, the fight becomes even easier as you will be able to use powerful Area-of-Effect spells like Pyroclastic Eruption and Meteor Storm without worrying about source. If not, spells like Superconductor and, to a lesser extent, Supernova, will do their job just fine. 

If you have Lohse in your party, though, things get a little more complicated because if you take too long to kill Adramahlikh, Adramahlikh will use demonic possession to take control of Lohse and she will be permanently enslaved, leaving your party forever. The obvious solution to this is to kill Adramahlikh quickly but this may not always be possible due to his high armor values and perseverance skill. Also, running away, teleporting away, or teleporting to a waypoint all will not work, as the demonic effect is scripted to take control of her wherever she may be. Thus, the simplest solution to prevent Lohse from becoming possessed is to make sure she is dead; once she is dead, Adramahlikh will immediately stop channeling his Demonic Possession spell. This can actually be used to great effect, since Adramahlikh wastes his turn each time by channelling the demonic possession spell. After he tries to channel it for a turn or so, simply kill off Lohse and his spell will be reset, rendering him unable to take control of Lohse. Then, during one of your other members' turn, cast resurrection on Lohse to revive her. The next time it's Adramahlikh's turn, he will try to channel his spell again, effectively wasting each of his turn. Of course, you can simply not bother with cheesing him and just concentrate on slaughtering them all without the help of Lohse - either way, it's not a terribly difficult fight, especially with Area-of-Effect spells. Alternatively, you may lure out the nurses out starting with the nurse closest to the door of the mansion using teleport then engaging in combat, after which you should engage in conversation with the Doctor while finishing off the rest. At this time you can teleport the doctor, while still in conversation onto the bench in the main hall just outside his office. This will render him knocked out but while still in conversation mode. You can then proceed to teleport him safely without the fear of him transforming far away from the mansion to an isolated location that doesn't allow for him to move. He will not teleport back. Engage in combat with the Doctor without the added worry of him charming Lohse and using his skill of invincibility. The quest will finish as normal. 

Killing Adramahlikh in his demonic true form will net you a crazy 299,700XP, as opposed to a measly 149,850XP which you will get if you kill his pathetic human form. Thus, killing Adramahlikh, his 6 nurses, and 4 Nemesis monsters will net you an insane grand total of 1,798,200 XP. Killing Adramahlikh also completes the quest, netting you an additional 134,750XP, so the total end result will be an absurd 1,932,950 XP.

Once the Doctor is dead, speaking to Lohse at this point will cause her to rejoice at finally being free, and you can listen to her sing a special song. You can also cast Spirit Vision and talk to the spirits of the nurses, learning that they used to be people who hunted down the Doctor but failed and were subjugated to become his minions.

Enter his cellar if you haven't already and you will find two of his poor prisoners. One of them will be Jahan, captured because he underestimated the Doctor. As mentioned before, if you speak to him at this point after killing the Doctor and completing this quest, you will receive no XP whatsoever. Still, whatever the case may be, you can unlock the magically locked cabinets in the lower chamber area here and loot various unique items such as the Lord Ruaney and Kvyn's armor sets. Loot the area and leave.

Shortly after leaving, an Elven Apparition will appear, thanking you and claiming to be the spirit of Eleanessa, the ancestor tree back in Bloodmoon Island. She will reward you with a ghostly mace and a choice of Divine-quality loot.

As a final word, if you look at Adramahlikh in his demon form, he actually looks like a female for some reason, despite talking like a male.





  • 19,400XP after the Elven messenger appears and invites you to visit the Doctor.
  • 19,400XP for Lohse only, per candle encounter, for the first two candle encounters (optional).
  • 19,400XP for speaking to Jahan before completing the quest.
  • 53,900XP Exploration XP for entering the Black House.
  • 19,400XP if the Doctor offers the contract.
  • 149,850XP for killing the Doctor (human form) OR 299,700XP for killing Adramahlikh (demon form).
  • 149,850XP for killing each of the Nemesis monsters, for a total of 599,400XP.
  • 149,850XP for killing each of the nurses, for a total of 899,100XP.
  • 134,750XP upon completion of the quest.
  • A choice of Divine-quality loot upon talking with the Spirit of Eleanessa, shortly after leaving the Black House on quest completion.

    • Anonymous

      14 Sep 2019 17:57  

      Two words: pyroclastic eruption. Don't snuff the candles, when Adramahlikh summons his minions it's actually easier to kill him. Kill the three nurses that are far from Adramahlikh in a separate fight. Make sure that all party members have teleportation spells, plus one needs to have nether swap. Have a powerful geomancer with the lowest initiative in the party and as many dmg and crit chance buffs as possible (before the fight starts you can cast encourage, use bedroll to apply rested effect, etc.). With the remaining party members stack three Nemesis monsters and one nurse on top of Adramahlikh. One nurse is near him anyway, just make sure both of the nurses are knocked down so they don't run around when it's their turn. When it's the geomancer's turn just use teleportation to teleport the last Nemesis monster+adrenaline+pyroclastic eruption. In my case, on tactician, at level 19, the fight just ended right then, everything was killed immediately (the remaining nurse that was not near Adramahlikh was also killed, almost 8k damage after critical hit was enough).

      • Anonymous

        08 Aug 2019 06:57  

        Just a heads up, I just defeated the Doc in DE, defeated all the nurses and the four summons and killed him in demon form, and I'm not entirely sure but I remember thinking that the XP from this fight would level me from 20 to 21... and it looks as though I got ~500k XP for some reason? According to this page, the nurses alone should have been 899k, and I dispatched them while one character was speaking to the doctor. I then attacked him and allowed him to summon the demons and finished them all. Not sure what happened, but I definitely didn't get the full ~2M XP for some reason, because I needed less than that to level up and I still need 1.5M now. Bummer, dude!

        • 07 Jul 2019 06:37  

          Kind of cheap, but while Lohse is in conversation mode with the Doctor, I moved all three of my characters behind him and thus blocking him from moving and set Flanked status. Maybe a game bug, but he's so big or for some reason the flanking caused him to not able to make attack moves, so it was easy finishing him while taking hits from his minions.

          • Anonymous

            07 Jun 2019 10:53  

            To open the magic cabinets downstairs, simply take the hint from the only unlocked cabinet. Yes, you need to rain blood (rain also worked for me) to shortcuircut the locks - maybe the demon is actually a time traveller? Only one of the two connected display cases can open, but they are all pretty useless anyways.

            • Anonymous

              02 Jun 2019 18:12  

              apparently there was an update and a lockpick no longer works on the cabinets below...Ive spent quite some time trying to figure out how to unlock them and I cant figure it out...anyone know how to do it the proper way?!

              • Anonymous

                26 May 2019 20:09  

                You can Kill the elven messenger for ~75k xp. Just drop some oil under hi to slow him down and then cast a fire spell to light him up and start combat. This will trigger aggro from the townspeople but if you run away after he dies they will go neutral again. You may have to pay off some of the merchants again for attitude depending on how far you are from them when he dies but money isn't really an issue in act 4 anyway.

                • Anonymous

                  24 May 2019 11:30  

                  For me Malady and Jahan weren't there. But i was Sworn, playing solo tactician Fane. I think since i was Sworn, Doctor would not even talk to me (front door refused to open) and had to go through barrel. Once i confronted Doctor first time, fight immediately started.

                  • Anonymous

                    13 May 2019 16:40  

                    Just an FYI. in Update on 05 Dec 2018 - "Lohse can no longer bypass the Doctor’s possession by wearing an Immune to Charmed item".

                    • Anonymous

                      03 May 2019 12:41  

                      My 2 cents : Playing with Lohse, a strategy that works if your team does enough damage without her is letting her die (and help if she's not being targeted) before she gets possessed, you can even rez her afterwards as that resets the possession process. Getting through the fish barrel and taking position in the torture chamber helps a lot to avoid add interference. My favored start being to tp the doctor inside the room on round 1, and focus him down. You can close the door to break LOS, and the adds tend to pile up in nice juicy cluster as they converge on you, giving you AOEs a satisfying power. After that, if you still struggle to kill him (I'm talking tactician level, no candles snuffed), just remember two of the most broken buffs in the game : Lady Kemmf brewed green tea (-2 ap cost to all actions for 3 turns) and scroll of apotheosis. A single blood mage with these can 1V1 him.

                      • Anonymous

                        12 Apr 2019 01:54  

                        So, if you are playing as Lohse here are a few things that does NOT work when trying to avoid Adramahlikh successfully casting Demonic Posession on you; 1) Playing on tactician difficulty, no candles snuffed out. Putting on Fanes helmet of the shapeshifter has no effect, I put it on and had Lohse look like a lizard. After two turns of combat Lohse got possessed before she could have a third. 2) Playing on tactician difficulty, no candles snuffed out. Tried to equip the ancient lute found in the doctors basement, and play him a song (he obviously hates lutes and songs judging from previous events). The ancient lute didn't work or play a single tune in combat. After two turns of combat Lohse got possessed before she could have a third. 3) Playing on tactician difficulty, no candles snuffed out. Drinking a potion of Strong Will (immunity to charmed+++) had no effect. After two turns of combat Lohse got possessed before she could have a third. 4) Playing on tactician difficulty, no candles snuffed out. Casting Peace of mind on Lohse (immunity to charmed+++) had no effect. After two turns of combat Lohse got possessed before she could have a third. 5) Playing on tactician difficulty, no candles snuffed out. Trying to half-cheese him by teleporting him into his laboratory (where you come up from the cellar) and closing the door so all 4 could focus him did not work, got him down from about 20k physical armor to about 5k at best. After two turns of combat Lohse got possessed before she could have a third. 6) Playing on tactician difficulty, having snuffed out the two first "stages" of candles but telling Malady "I couldn't do it" on the third and final stage with the massive amounts of candles. The demon was seemingly not weakened at all, everything looked exactly like it did when no candles were snuffed out. After two turns of combat Lohse got possessed before she could have a third. Was trying to complete a vanilla goody-two-shoes run using Lohse, but seems the only way of doing it is having her sacrifice a couple million souls to save her own, or cheese the hell out of the game. Kinda sucks if the only option for Lohse to survive is committing genocide. 7) Playing on tactician difficulty, all candles snuffed out. The demon was at about half the amount of health and armor, also all his resistances had been reduced by 50%. He did not summon any Nemesis creatures and most importantly he never tried to use the Demonic possession spell on Lohse. Killed him on the first attempt I made this way. I tried looking for a helmet with immunity to charmed, but couldn't find any, would be nice to have someone confirm if that would work or not.

                        • Anonymous

                          11 Apr 2019 07:13  

                          There's a charmed immunity helmet in the house before the bridge leading to the doctors house. Put that on Lohse.

                          • Anonymous

                            01 Apr 2019 00:46  

                            HOW TO GET IN THE HOUSE IF YOU GOT KICKED OUT AND DESTROYED THE BARREL: Stand in front of the door and cast Earthquake. It will knock down Nurse Fa, then she will get upset and start looking for you. Just wait in front of the door and she will eventually open it and talk to you. Bribe her. She will no longer be upset with you, and the door will remain open.

                            • Anonymous

                              30 Mar 2019 19:10  

                              just a heads up to those playing honour mode - he will kill lose in his 2nd turn which gives you an instant game over.

                              • Anonymous

                                25 Mar 2019 10:41  

                                Just 1HKO the Doctor on Tactician with a Solo Ranger. My Markman's Fang attack did 11000 damage, killing him at full power instantly. I went up from the basement, pre-buffed at the door and covered the floor with blood then initiated dialog.

                                • 17 Mar 2019 23:43  

                                  I equipped "The Staring" helmet on Lohse, which gives immunity to terrified and charmed. I initiated battle by attacking the front desk nurse, which aggroed all the enemies in the house. While they moved towards the front desk to engage me, I prepped the floor with oil and ice to slow progression. I was able to engage them in smaller groups and used AOEs when they congregated in the middle hallway on the way to the front desk. Meanwhile, Adramahlikh spent the entire fight trying to possess Lohse, which kept failing due to her charmed immunity.

                                  • Anonymous

                                    13 Mar 2019 16:20  

                                    If you're wanting to loot both display cases in the basement (after killing Adramahlikh), cast Blood Rain one of them, open the case, loot the items, clear the blood (Tornado is OP for this), then quicksave and reload to reset the second display case. Cast Blood Rain on the second display case, open it, and loot it. One thing I've noticed that's very important is to NOT CLOSE THE DISPLAY CASES. If you close them after looting them, the items that were inside cannot be equipped or right-clicked on, making them completely useless. The game seems to think they're in the case when you do that. Also, if you close the display cases and drop the items on the floor, you won't be able to pick them up again. In this way, you can equip all five artifacts from the chests.

                                    • Anonymous

                                      12 Mar 2019 02:18  

                                      Jahan wasn't in the prison and Malady never showed up either. I was playing with Ifan and Sebile so maybe that makes a difference. Anyway, completed this by the barrel jump into the basement where I collected exploration xp, looted and found only one dwarf prisoner with his tongue cut out. Then when back up and entered through the front door. I completed the quest by killing the first 4 nurses in the front and right side of the house. This didn't trigger a fight with the Dr. so I mover closer teleported the nurse in his office away and this triggered the fight. I quickly killed her and tactical retreated away and just ran for the front door and the doctor didn't follow. with my teleport recharged, I was able to grab him and teleport him to the middle of the house where Sebile was able to teleport him again to the front door. we started the fight here and teleported him outside and then once or twice more in the fight. All the remaining minions followed him outside but since they didn't all make it out of the house at once I was able to get two of there magic armors down and charmed them with mind magots. From here it was easy since Sebile and Ifan just concentrated on the Demon form of the Dr and the nemisis fought mostly among themselves. Once we finished the Dr, we just picked off what was left.

                                      • Anonymous

                                        01 Mar 2019 10:28  

                                        In the definitive edition, with the new patch I guess, we aren't given a choice. Malady will refuse to talk to you without Lohse. And Lohse will always choose to snuff out the candles.

                                        • Anonymous

                                          27 Feb 2019 23:08  

                                          Malady never appeared for me either and honestly I tried this battle a dozen times before I finally Pwned the Doc. The difference for me was starting by killing the nurses at the front of the mansion first, like 3-4. The back nurses and the Doc. didn't respond to this. When I went to confront the Dr., I refused his offer and he kicked me out of the house. I used the fish spell on the barrel out to the East of his house and got in the basement. I got back into his house and then unlocked the door and kept my crew back. My summoner summoned her incarnate and gave him his boosters and then he went in and attacked the doc. The doc immediately turns into the demon and battle starts in earnest. His goons appear and honestly this is where things get crazy. I ended up beating them by the use of my mage freezing the goons and repeatedly teleporting the demon out of combat. If he stays in combat, you are toast. I was able to do this enough that I eliminated the other nurses and the goons and finally tag teamed on the Demon. It took about 1.5 hours, but was worth it! So fun.

                                          • Anonymous

                                            16 Feb 2019 00:34  

                                            Malady never appeared, thus no candles. No Jahan, at all. Jahan didn't die anywhere else and Milady is alive and well on my ship. Really not sure what happened but, the Doctor fight was a large and wild affair. 10 or so combatants made it fun.

                                            • Anonymous

                                              23 Jan 2019 21:36  

                                              Easy way ... I am using an IMPERATOR helmet on Lohse - lvl 16 bad stats ... but best of it is "Imunity to charmed" SO every turn is Adramahlikh using his Demonic possession - but nothing happens to Lohse. Best :)

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